Broussard, William Fred
Broussard, William Fred is an individual health care provider with primary practice located at 5415 Sw Beaverton Hillsdale Hwy , Portland OR 97221-1918. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Broussard, William Fred can be contacted via phone (503) 246-5077.Contact Information
Primary practice address
5415 Sw Beaverton Hillsdale Hwy
Portland OR 97221-1918
Phone: (503) 246-5077
Fax: (503) 246-3107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | 6521 | Oregon |
Profile Details
| NPI number | 1043217961 |
|---|---|
| LBN Legal business name | Broussard, William Fred |
| Credentials | RPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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